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Perubahan Tekanan Darah Dan Berat Badan Pada Pasien Gagal Ginjal Kronik Yang Terpasang Cimino Setelah Menjalani Tindakan Hemodialisa Di Ruangan Hemodialisa RSUD Raden Mattaher Jambi Tasya Isra Salsabilla; Andika Sulistiawan; Andisubandi Andisubandi
Jurnal Ners Vol. 7 No. 2 (2023): OKTOBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i2.16434

Abstract

Gagal ginjal Kronik merupakan kerusakan ginjal progresif dan irreversible yang mengakibatkan uremia (urea dan limbah lain yang beredar di dalam darah serta komplikasi jika tidak di lakukan dialisa atau transplantasi ginjal). Gagal ginjal biasanya disebabkan oleh glomerulonefritis (25%), diabetes mellitus (23%), hipertensi (20%) dan ginjal polikistik (10%),. Salah satu terapi pengganti ginjal yang dapat dilakukan adalah hemodialisa. Meski hemodialisa aman dan bermanfaat bagi pasien, bukan berarti tanpa efek samping. Berbagai komplikasi dapat terjadi saat pasien menjalani hemodialisa salah satunya adalah hipertensi intradialisa dan penambahan berat badan. Komplikasi ini dapat menimbulkan masalah baru yang lebih kompleks, antara lain rasa tidak nyaman, meningkatnya stres yang mempengaruhi kualitas hidup, memperburuk kondisi pasien bahkan menyebabkan kematian tujuanya Untuk mengetahui perubahan tekanan darah dan berat badan pada pasien gagal ginjal kronik yang terpasang cimino setelah menjalani tindakan hemodialisa di ruangan hemodialisa RSUD Raden Mattaher jambi. Jenis penelitian ini menggunakan Analitik Observasional kuantitatif teknik sampling acciadental sampling dengan besar sampel 60 pasien dengan desain One Group Post Test, dihitung menggunakan rumus slovin, Penelitian menunjukan bahwa pasien yang menjalani tindakan hemodialisa mengalami perubahan tekanan darah dan berat badan. Terdapat perubahan Tekanan darah dan berat badan pada pasien gagal ginjal kromik yang terpasang cimino setelah melakukan tinfakan hemodialisa di ruangan hemodialisa RSUD Raden Mattaher Jambi
Hubungan Efikasi Diri terhadap Kepatuhan Minum Obat Pada Pasien Penyakit Tuberkulosis di Puskesmas Putri Ayu Kota Jambi Mertisa Panjaitan; Yosi Oktarina; Andi Subandi
Jurnal Ners Vol. 7 No. 2 (2023): OKTOBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i2.16735

Abstract

Efikasi diri merupakan bentuk keyakinan individu terhadap dirinya sendiri dalam melakukan suatu tindakan. Keyakinan individu diperlukan oleh pasien yang menjalanin pengobatan Tuberkulosis untuk mencapai keberhasilan perawatan diri. Kepatuhan minum obat Tuberkulosis sangat diperlukan dalam menyelesaikan pengobatan selama 6 bulan. Penelitian ini bertujuan untuk mengetahui hubungan efikasi diri terhadap kepatuhan minum obat pada pasien Penyakit Tuberkulosis di Kota Jambi. Penelitian ini menggunakan metode kuantitatif dan pendekatan sectional dengan menggunakan total sampling sebanyak 48 orang. Hasil penelitian ini didapatkan npasien Tuberkulosis memiliki efikasi diri yang tinggi 22 orang (45,8%) dan orang yang memiliki efikasi yang rendah sebanyak 26 orang  (54,2%). Sedangkan tingkat kepatuhan minum obat tinggi 18 orang (37,5%), 18 orang  (37,5%) yang kepatuhan sedang dan kepatuhan rendah terdapat 12 orang (25%). Hasil uji statistic spearman rho didapatkan nilai p-value =0,005 (p<0,05) dan r= 0,396, artinya terdapat hubungan positif cukup antara efikasi diri dengan kepatuhan minum obat pada pasien Tuberkulosis di Puskesmas Putri Ayu Kota Jambi. Efikasi diri dan kepatuhan minum obat pada pasien Tuberkulosis masih tergolong tinggi. Efikasi diri mempunyai hubungan yang rendah dan mempengaruhi tingkat kepatuhan minum obat pasien Tuberkulosis, diharapkkan penelitian ini dapat menjadi evaluasi dan suumber informasi bagi Puskesmas Putri Ayu , Pendidikan dan Profesi Keperawatan serta penelitian selanjutnya.  
Costs and Impacts of Utilizing National Health Insurance Reducing the Economic Burden of Hypertension Patients Adila Solida; Dwi Noerjoedianto; Arnild Augina Mekarisce; Andi Subandi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (672.771 KB) | DOI: 10.30604/jika.v8i1.1484

Abstract

The prevalence of hypertension ranks as the highest incidence of disease in Jambi Province in the last 5 years. The cost of treatment and management of hypertension that must be borne by the community is relatively high. The existence of a cost reduction from the National Health Insurance (JKN) program is expected to reduce the economic burden caused. This study aims to analyze the difference in the average costs due to hypertension between patients who use JKN and patients who pay out of pocket in Jambi City. A Study based on economic evaluation with a quantitative approach, was conducted in Jambi City in 2022. There were 165 respondents selected by purposive sampling technique. The study instrument was in the form of a questionnaire. Data processing using statistical software with descriptive statistical analysis stage and bivariate T-test analysis. The results of the study showed that there were differences in the average direct medical costs (p = 0.000), direct non-medical costs (p = 0.034), and the total costs due to hypertension (p = 0.018) between patients who used JKN and patients who pay out of pocket. The conclusion of the study is that the difference in the average costs incurred by hypertension sufferers who utilize JKN has an impact on reducing the family's economic burden, especially in the direct medical cost component. Abstrak: Prevalensi hipertensi menempati urutan teratas sebagai kejadian penyakit paling banyak di Provinsi Jambi dalam 5 tahun terakhir. Biaya pengobatan dan penanganan hipertensi yang harus ditanggung masyarakat relatif tinggi. Adanya penekanan biaya dari program Jaminan Kesehatan Nasional (JKN) diharapkan mengurangi beban ekonomi yang ditimbulkan. Studi ini bertujuan menganalisis perbedaan rerata biaya akibat penyakit hipertensi antara penderita yang memanfaatkan JKN dengan penderita yang mengeluarkan biaya dari kantong sendiri di Kota Jambi. Studi berbasis evaluasi ekonomi dengan pendekatan kuantitatif, dilakukan di Kota Jambi tahun 2022. Responden berjumlah 165 orang yang dipilih dengan teknik purposive sampling. Instrumen studi berupa angket. Pengolahan data menggunakan software statistik dengan tahap analisis statistik deskriptif dan analisis bivariat uji-T. Hasil studi bahwa terdapat perbedaan rerata biaya langsung medis (p=0,000), biaya langsung non medis (p=0,034), dan total biaya akibat penyakit hipertensi (p=0,018) antara penderita yang memanfaatkan JKN dengan penderita yang mengeluarkan biaya dari kantong sendiri. Kesimpulan studi bahwa perbedaan rerata biaya yang dikeluarkan penderita hipertensi yang memanfaatkan JKN berdampak pada penurunan beban ekonomi keluarga terutama pada komponen biaya langsung medis.
Improving the quality of Community Health Centres services in Province of Jambi: an integrated quality management model based on the European Foundation Quality Management (EFQM) and Six Sigma Amri Amir; Tona Aurora Lubis; Junaidi Junaidi; Dwi Noerjoedianto; Andi Subandi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (752.307 KB) | DOI: 10.30604/jika.v8iS1.1694

Abstract

The quality of health services is essentially required to achieve the optimal health status through community-based policies by prioritizing prevention and promotion at the primary healthcare level.  However, the deficient quality of healthcare services has been a complicated problem in the public health sector that must be solved immediately. Practically, there are four aspects of quality management, including management, infrastructure, core, and the quality of Community Health Centres (CHSs) services. This study aims to develop a quality management model at 24 CHCs in Province of Jambi using the EFQM and Six Sigma model. The questionnaire was used to collect data from 560 health workers and analysed using a second-order model of Smart PLS software. The research found that the implementation of four aspects in quality management was classified as a good category. The aspects were statistically associated with the quality of the CHCs services. The infrastructure and core practices were able to partially mediate between the management practice and the quality of CHCs services. Nevertheless, the implementation of quality management still remained low in several targeted CHCs.
Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pasien Pasca-Percutaneous Coronary Intervention (PCI) Di Klinik Jantung RSUD Raden Mattaher Jambi Tahun 2023 Silvi Salsabila; Nurhusna Nurhusna; Andi Subandi
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.2051

Abstract

Heart attacks are caused by a blockage that keeps blood from flowing to the heart and to the brain, resulting in further complications such as failure of the heart muscle to get oxygen supply which results in a person's death. Therefore, patients with heart disease require Percutaneous Coronary Intervention to deal with their treatment. PCI is also known as cardiac angioplasty or percutaneous coronary intervention. PCI installation in patients with heart disease can affect physical activity so that patients really need family support. Family support will increase self-confidence and motivation to face problems and increase the standard of living to improve the patient's quality of life. This type of research uses a quantitative technique with a cross sectional approach. Sampling was carried out by purposive sampling technique with a total sample of 54 people.The results showed that the majority of respondents had good family support, with all dimensions of family support having a good percentage which showed a significant good percentage (100.00%), and had a very good quality of life (75.93%) , with those who have a good quality of life (24.07%). There is a significant relationship between family support and the quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room of Raden Mattaher Hospital, Jambi, with the Sig. (2-tailed) is 0.032 less than α (0.05). In addition to the analysis significance value, a correlation coefficient (cc) value of 0.293* was also obtained.The relationship between family support and quality of life of post-percutaneous coronary intervention (PCI) patients in the cardiac clinic room at Raden Mattaher Hospital Jambi in 2023 resulted in a relationship that was sufficient or strong enough and led to a positive relationship, that is, better family support.
Determinants Of Diarrhea Among Toddlers In Bram Itam Kiri Sub-District Bram Itam Barat Tanjung Jabung District Andi Subandi; Andy Amir
International Journal of Medicine and Health Vol. 1 No. 4 (2022): December: International Journal of Medicine and Health (IJMH)
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v1i4.1303

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Background : Diarrhea is still the leading cause of morbidity and mortality in the world. According to data from the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2013 diarrhea is the second leading cause of death in children under five. The purpose of the study was to determine the relationship between mother's education level, occupation, income, mother's knowledge, and latrine ownership with the incidence of diarrhea in children under five in Bram Itam Kiri Village.Methods : Using a cross sectional approach with a population of 166 mothers, the number of samples was 68 respondents. The sampling technique was carried out using simple random sampling. Data were collected using a questionnaire sheet and analyzed univariate and bivariate using chi square analysis.Results : The level of education in the low category is 48.5%, employment in the unemployed category is 58.9%, income in the low category is 70.6%, knowledge in the poor category is 83.8%, latrine ownership in the category does not meet terms of 61.8%. Bivariate results of education level (0.003), mother's occupation (1,000), family income (0.019), knowledge (0.028), and latrine ownership (0.002) with the incidence of diarrhea in children under five.Conclusion : There is a relationship between the level of education, family income, knowledge, and ownership of latrines, and there is no relationship between the mother's occupation and the incidence of diarrhea in children under five.      
Relationship Determinants of Cadre Roles in Parenting Services for Toddler Families in Jambi City Andi Subandi; Dwi Noerjoedianto
International Journal Of Health Science Vol. 2 No. 2 (2022): July: International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (938.702 KB) | DOI: 10.55606/ijhs.v2i2.233

Abstract

Toddlerhood is a golden era in children's growth and development because it is a period of real growth that influences and determines children's subsequent development. Through the Toddler Family Development (Bina Keluarga Balita/BKB) movement. Every family would be able to enhance their talents, particularly in caring for their toddlers and pre-school-aged children, to promote optimum child growth and development. Health cadres play a significant role in efforts to strengthen the community's capacity to reach optimal health status independently. This study seeks to identify the elements that influence the involvement of cadres in providing family care services for toddlers in the city of Jambi. This study used a quantitative, cross-sectional methodology. This study's population consisted of 450 cadres from the Toddler Family Development (Bina Keluarga Balita/BKB) program. This study's sample consisted of 81 the Toddler Family Development (Bina Keluarga Balita/BKB) cadres selected using Probability Sampling with Proportional Stratified Random Sampling. The chi-square test demonstrates that there is a correlation between the variables attitude (p-value = 0.001) and motivation (p-value = 0.002). Moreover, there is no correlation between knowledge and BKB cadres' roles (p-value = 0.180). Attitude and motivation variables are substantially associated with the role of the Toddler Family Development (Bina Keluarga Balita/BKB) Cadres in Jambi City. The Office of Population Control and Family Planning will hold online discussions. Hence, cadres are always aware of the most recent developments in activities of the Toddler Family Development (Bina Keluarga Balita/BKB). The Office of Population Control and Family Planning will monitor activities even when not on the ground. The Office of Population Control and Family Planning will reproduce books on the Toddler Family Development (Bina Keluarga Balita/BKB) so cadres can gain more knowledge and not rely solely on training experience.
The Effect of Management Practices on Improving The Quality of Services Through The Integrated Core Practice of Efqm and Six Sigma Public Health Center, Jambi Province Andy Amir; Andi Subandi; Dwi Noerjoedianto
International Journal Of Health Science Vol. 2 No. 2 (2022): July: International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1039.092 KB) | DOI: 10.55606/ijhs.v2i2.323

Abstract

This study aims to analyze the effect of management practices on improving service quality through the integrated core practice of EFQM and Six Sigma Public Health Centers in Jambi Province. This research is a quantitative research using a cross sectional design approach through two stages of research. The research data was obtained using a questionnaire from a sample of 560 civil servant employees in 24 health centers that were randomly selected and analyzed by second order using Smart-PLS 3.0. The results of the study found that the implementation of management practices and core practices had a fairly good average by employees and each had a direct effect on the service quality of the Public Health Center. The core practice is able to partially mediate between management practices and the quality of Public Health Center services. However, in practice, not all Public Health Center have implemented quality management practices.
COMMUNITY PARTICIPATION IN INSURANCE OWNERSHIP SOCIAL HEALTH TO UNIVERSAL HEALTH COVERAGE (UHC) IN JAMBI CITY Dwi Noerjoedianto; Andi Subandi; Andy Amir
International Journal Of Health Science Vol. 2 No. 3 (2022): November: International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v2i3.561

Abstract

Introduction: Universal Health Coverage (UHC) is a health financing system that ensures every individual has equitable access, quality and financially affordable health services. BPJS as the organizing body has made efforts to encourage the achievement of UHC but in it’s implementation there are many obstacles.Method: This research is an analytical qualitative research. Result: Public knowledge about health insurance is still low, the availability of health facilities and coverage of health services are in accordance with standards.Discussion: There are still many people who do not know the importance of being a participant in health insurance.
THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDES, AND TRAINING OF FOOD HANDLERS WITH GOOD FOOD PRODUCTION METHODS IN FOOD HOUSEHOLD INDUSTRIES IN KOTA BARU SUB-DISTRICT, JAMBI CITY Andy Amir; Andi Subandi
International Journal Of Health Science Vol. 3 No. 1 (2023): March : International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i1.1517

Abstract

Background : In this world, food safety management was poor. In addition it has increasing every year and it would be food poisoning. A way to good food production for the household industry (CPPB-IRT) really need to be considered, because they can be dangerous for consumers. The aim this studi to analyze knowledge, attitude, and trainning with CPPB-IRT. The purpose of the study was to determine whether there was a relationship between knowledge, attitude, training of food handlers and CPPB in the home industry industri.Method : The type of this stiudy is quantitative with cross sectional design. Sample in this research are 60 respondents were selected using the Total Sampling method. The dependent variable is CPPB and independent variable are knowledge, attitude, and training participation in good and correct food production methods. Data was collected by means of interviews. Analysis using Chi Square.Research result : The results of this study indicate that 44 out of 60 (73.3%) respondents with bad CPPB and 16 (26.7%) respondents with good CPPB. There are significancy relation between knowledge (P-value=0,038; POR=4,1) and attitude (P- value=0,015; POR=5,2) with CPPB. There is no relation with training with CPPB.Conclusion: There are significancy relation between knowledge and attitude with CPBB. There should be training to increase the knowledge of employees that have an impact on a positive attitude for CPBB accomplished